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NPI Code Detail

MEDICARE: LHCG CIV, LLC

MEDICARE: LHCG CIV, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251J00000XNursing Care Agency
2253Z00000XIn Home Supportive Care Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265947535
Entity Type Code : Organization
Provider Name (Legal Business Name) : LHCG CIV, LLC
Provider Business Mailing Address
First Line : PO BOX 51266
Second Line :
City : LAFAYETTE
State : LA
Zip : 70505-1266
Country : US
Telephone Number : 337-233-1307
Fax Number : 337-233-5764
Provider Business Practice Location Address
First Line : 2904 JENNY LIND RD STE 9B
Second Line :
City : FORT SMITH
State : AR
Zip : 72901-6735
Country : US
Telephone Number : 479-226-8503
Fax Number : 479-452-2150
Authorized Official
Title or Position : PRESIDENT
Name : JOSHUA L PROFFITT
Credential :
Telephone Number : 337-233-1307
Provider Enumeration Date : 12/08/2017
Last Update Date : 12/10/2025

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